B R A N D O N W E L C H , V I J A Y S W A M I # , I S T A P U L U # A N D Y A S H W A N T P A T H A K *
*
C O L L E G E O F P H A R M A C Y , U N I V E R S I T Y O F S O U T H F L O R I D A H E A L T H , 1 2 9 0 1 B R U C E B D O W N S B L V D , M D C 0 3 0 , T A M P A , F L
3 3 6 1 2 , T E L : 8 1 3 - 9 7 4 - 1 0 2 6 ,
# R E S E A R C H I N S T I T U T E F O R W O R L D A N C I E N T T R A D I T I O N S A N D C U L T U R A L H E R I T A G E ( R I W A T C H ) R O I N G , A R U N C A H A L P R A D E S H ,
I N D I A
E M A I L : Y P A T H A K 1 @ H E A L T H . U S F . E D U
Innovative approaches in Mexico and North East India health care system and their implications in
Objectives
Review various innovative things happened in
Mexico and will look at its application in other Ibero
American countries which can replicate the
innovations.
Review the services and facilities provided by CIS
and its impact on various spheres of tribal life in NE
India such as education, agriculture, health care,
Challenges of healthcare delivery In Mexico
Scarcity of human resources in health resulting in
many health issues.
Malnutrition, avitaminosis, anemia, dysentery ,
tubercolosis, malaria, and other infectious diseases.
Recent studies of 2009, have also shown an
encounter of a major outburst of swine flu that was
immersed amongst the population of Mexico
effecting close to half a percent of the population
(total population around 120 Million).
Challenges of healthcare delivery In Mexico
With
Mexico’s poverty rate so high and low economical
class it has served as a sole purpose of the low academic
level of medical schools drawing out poorly skilled
doctors.
As a result, under these poor circumstances, it has
caused them to suffer profoundly from poor healthcare
delivery, leading to these defective health conditions.
In the North East India (mostly tribal area) especially in
Arunachal Pradesh RIWATCH has been very active in
health care and face similar challenges as faced in
The Development of innovative
technology to improve on healthcare
Public healthcare spending being on the rise in Mexico has
allowed itself to create new innovative ways to tackle some of
these health issues.
Implementation of vaccination shots at your local health
facilities have been used to stimulate a better immune system
to fight off and prevent any of these pathogenic diseases.
Facilitating a more improved infrastructure, building new
clinics and specialized hospitals have been growing at a brisk
rate.
•
The medical education has also added some designing touches
by enlightening the doctors allowing them to be more
knowledgeable now granting them access to
Healthcare in Mexico
Most Mexicans aren’t content with the
healthcare
system.
Dissatisfying waiting times
Lack of availability of medication
Lack of patient-consumer orientation
Limited access to services and conveniences
Poor wellness-orientation
All variables contribute to Mexico’s incompetent
Northeast India
Mostly inaccessible by any means of transportation from the rest of India.
Northeast (NE) India is one of the most diverse geographical areas with > 3000 dialects of tribal people.
Community Information Services: A Unique Tool to Enhance E-Governance in Tribal and Remote Rural areas of
Northeast India Using Modern Information Technology
CIS are a boon to NE India providing interface between Government and citizens.
Government have set up 30 CIS in pilot projects.
By the end of 2015, planning to set up additional 457 CIS leaving a total of 487.
Status of Community Information Centers in
the North East
No .
Name of the State
Total No’s of
CICs planned
Total No’s
of CIC set up
Present CIC
Status CSC
1. Assam 219 219 219
2. Arunachal Pradesh
85 85 85
3. Manipur 39 39 39
4. Meghalaya 39 39 39
5. Mizoram 36 36 36
6. Nagaland 52 52 52
7. Sikkim 45 45 45
8. Tripura 40 40 40
S.No. States Total CSCs to be set up Roll out as on July 2011
1 Tripura 145 145
2 Assam 4375 3877
3 Meghalaya 225 188
4 Nagaland 220 199
5 Manipur 399 399
6 Sikkim 45 45
7 Mizoram 136 118
8 Arunachal Pradesh 200 187
Status of Community Information Centers in
the North East
CIS provided the services and facilities which has
impact on various spheres of tribal life in NE India
such as
education,
agriculture,
health care,
employment,
public and policy information
Healthcare Expenditure
The Mexican government spends only about
5.2% of its GDP (Gross domestic product) on
healthcare compared to an average spent in
other Ibero countries landing at 6.2%.
India spending only about 4.1% of its GDP on
healthcare.
2013 marked India having a low healthcare
Infrastructure In Ibero American Countries
Requirement of an expansion of overall physical infrastructure like buildings, equipment, transportation, auxiliary human resources, facilities, etc. has been rationalized for optimal use.
Compared to other Ibero countries, Mexico has suffered in a low ratio of the amount of hospital beds to people in clinical facilities.
Medical Education
Currently Mexico has 38 certified medical schools growing at a brisk rate.
Graduate capacity is approximately 21,000 students.
Shortage of doctors by 2015 is supposed to be an estimated 63,000.
Majority of physicians 60 and older; ranking the highest percentage nationwide of elderly physicians.
At present 334 medical colleges serve in India(154 medical colleges in government sectors, remaining 180 in private sector).
Conclusion
Tremendous efforts have been made towards the reform of Mexico’s healthcare industry and other Ibero countries.
Certain issues pertaining its healthcare still take a crippling toll on the population.
North east of India has provided interesting solutions to health care and other problems of the remote areas by providing Community information centers in remote areas.
Many healthcare problems are being resolved due to accessibility.
These centers can be replicated in many other Ibero American
Countries where such problems and diversity of population exists.
Future implications
Facilitating a more improved infrastructure,
building new clinical facilities and specialized
hospitals.
Increase attention to medical infrastructure
(setting up new medical colleges, as more land will
be required).
Increase amount of faculty in medical colleges (in
past has been a shortage).
Improve its alliances with
Future implications
Improve more of its quality and cut cost in
healthcare.
Recruit more nurse practitioners who require less
training to supplement for the shortage of doctors
and reduce amount of wait time as well as pay.
Cross-train future and current doctors,
enlightening them on multiple specialties, to
reduce patients from traveling across the state to
see a specialists for a disease they may have
References
References
"Doctor Shortage in New Mexico Expected to Worsen."
Http://www.modernhealthcare.com/article/20140112/INFO/3011 29996. Associated Press, 12 Jan. 2014
"Mexico: A Statistical Evaluation of Government
Performance." Mexico: A Statistical Evaluation of Government Performance. N.p., n.d. Web. 27 Jan. 2014.
"How Mexico's Health System Works - Technology & Science - CBC News." CBCnews. CBC/Radio Canada, 09 May 2009. Web. 27 Jan. 2014
Vance, Erik. "Mexico Chalks up Success in Health-care
Reforms." Nature.com. Nature Publishing Group, 17 Aug. 2012. Web. 27 Jan. 2014.
References
Bhawan, Nirman. "Government of India Ministry of Health and Family Welfare." N.p., Dec. 2011. Web. Jan.-Feb. 2014
Sanjib Baruah, India and its Northeast: A new politics of race, India International Center Quarterly, Vol. 32 (2& 3), 2005, pp. 165-76
http://www.iitg.ernet.in/rcilts/phaseI/heirarchy.htm accessed on 07.13.2013.
Model E-Villages In North East India: An ICT Project For Development In Remote Tribal Areas, April 2012, Researched and Documented by: One World Foundation India.
Leveraging Information and Communication Technology for the Base of the Pyramid. Innovative business models in education, health, agricultural and Financial Services: A JOINT REPORT BY Hystra Hybrid Strategic consulting ASHOKA in collaboration with TNO, 2012
Bhaskar Mazumder, PhD., Vijay Swami** M.S.W., Ista Pulu**, M.D (Gynecology) and Yashwant V Pathak#, PhD , Community Information Services: A Unique Tool to Enhance E-Governance in Tribal and Remote Rural areas of Northeast India Using Modern Information Technology , Innovationa and Technology, 16 (01) March 2014 In press
